HomeMy WebLinkAbout1995-007404 - heating a/c PERMIT �
. CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 -
Crystal Bay, Minnesota 55323 Permi t Num ber:
(612)473-7357 Date issued: -
SITE ADDRESS:
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DESCRIPTION:
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CONTRACTOR: - _ . - - .. ... _ - OWNER:
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APPLICANT%PERMITEE SIGNATURE ISSUED BY SIGNATURE �Cu�c�-/�.
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CITY OF ORONO APPLICATION FOR MECf�I�'A�. PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pemut will be issued within 2 working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desiens - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Data shall be presented on form provided. Ideatification of and specifications for water heating equipment
shall also be provided.
4. VVher. any new constn�ction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and fina]). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: —/✓y�'"New Addition Repair Replace
17 Residential Commercial
JOB SITE• .�-��iZ� �� Zip:
Owner's Name• �� Telephone Number:
I Mailing Address: �a � �,,,� �-,�� City: �' y� Zip: �'-i�/>
�II� y5 Contractor'sNameF C � 7J�� TelepH eNumber: �Z,�3c� ��7
�p� ailingAddress• ! .�SS,� (�. ; ,��✓ �/` City: jr� • �/e�LV Zip: -5�53�-�—
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SYSTEM DESCRIPTION�
�''�^x �, =�:;*+r�, ..r
HEATING SYSTEMS J
Quantity: �
Make: � � ��►�.""
Model: ,���� M JN'Q`��"J?u ��
Fuel: iltc.i` �� '
Flue Size: �f�� '
Input BTUs: I ZG',C�Z•C—
Output BTUs: )�l5 ,�� '
CFM: �-��
COOLING SYSTEMS
Quantity: �
Make: L�cw�-T-
Model: �:3 Arl��-L'�F�'
Tons:
H. Power
�
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION �
No. / Kitchen Exhaust �ducted recirculating cfm
No. � Bath Exhaust (must be ducted outside) cfm
NQ. Oth.er Fans- Locations ___T__ _ cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.OQ) ,
���;�C `= x .0125 $ �S,C�'
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(contract price) �,� �
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. 'GL�C� x .0005 $ 3 L'Z�
(contract price) .
or $.50, whichever is greater �''
3. Postage and Handlin� �(� tv mail-in a� Ilratinncl �" $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ''��C, �
* CONTRACT PRICE or JOB CUST means tne acrual or estima�ul uoliar amaia:.�charged fo:the p�:�::ted
work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation are fumished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the City may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct. I
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;� �_ Date: � �
Applicant's Signature: =; �-��� �
Approved By: � � Date: S'�j �L° �
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5/N 248 � k16HT-,1 SHORT FORM 1�.1�.44 •
Job �: + Htg Cla
For: NEATHHAt1,2,5T�RY Outside db -16 42 .
Inside d6 11 78
Design TD BB 14
Dai 1 y P,ange - M
]nside Hueid. - 50
Ay: HTG,COOLrZ ' 6rains Nater - 33 ,
►.
Const. Quality a �
! af Fireplaces 1
HEATIN6 EflUIPMENT C�OLING EOUIPMENT -
hake Make
ticdel 11ode1
T�•pe T�Pe
Effi�ien�y / NSPF 0.0 COP,'EEk15EEk Q.0 •
Heating Input U Btuh 5ensible Cooling U Btuh
Heating Uutput 0 Btuh Latent Cooling 0 Btuh
Heating Te�p kise u �eg f Total Coolirg u peg F
P:tual Heating Fan 23�5 CfM A�toal Cooling Fan ��7.5 CFM
Htg Air FIoN Fa�tor O.u�b CFM/btuh Clg Air F]oN Factor Q.GS� CFM/6tuh
Space Thernostat Load Sensible Heat Ratio B6
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. RODf1 NAME � AkEA � HT6 ; CL6 ; HT6 { CL6
- - - � SQ.fT. � 6TUH � bTIIN � CFM ; CFM
--------------------�4-
STUDY � 182 i JLiJ � 1381 � q2 ;
EiN � 70 ; 861 � �B1 ; 23 ; 15
LIVIN6 � 210 1 J7JQ � 2293 � !47 � 155
FO'rER ; 14B � 3844 � 1U25 � 99 1 JJ
DININ6 � P45 ; 34.;2 � 1790 � 88 � 96 �
fAflILY ; 396 � 13426 � 1481 ; 344 ; 400 �
5RKF5T � 111 { 7128 ; 3884 � 183 � 201
Y,ITCH I 204 � 1127 I 2721 � Y9 � 146
11UU,LAUNDRY � 140 ; 4?45 � 969 I 1?3 � 52
IiA5,8R { 256 � 5G66 � �(i52 � 130 � 163
Y1C ; 121 � ?570 � bul � 66 ; 32
11,BiN,bTH � 184 { 30;) ; 93b ; 7B � 50
6RZ,HALL � 2U4 ; �8A5 ; Z049 ; 14 � 112
FOYEA I 146 � 3139 { 1520 � 8! f 81
BR3 � 204 � 3684 � 2?51 � 95 � 1�1
BR4 � 112 � 3428 ; 2190 ; 88 � 117
6A5E11Et�T � 1700 { 23243 � 6.i88 � SSb ; 449
-----------------------------------
Entire House � 4814 ; 9Uo26 � 45321 � Z�?5 ; 23�5
Ventilation Air � { !lb16 I 184B � ;
Latent Cooling � ; � 9638 � ;
----------------=-------------
TOTALS � 4814 � 10Z�42 � 54465 � 2�''S � ?�25
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DC A� TIME
CITY OF ORONO CALLED IN �S
INSPECTION NOTICE SCHEDULED � "' y� ����'
PERMIT NO. COMPLETED �_ �
ADDRESS '> >
OWNER � C NTR. ' � �
TELEPHONE NO. �.�� -- ?G�1'�
- . ,
� DESCRIPTION �
� 01 FOOTING 11 MECH ICAL RI 18 EXCAV/GRADI ILLI
Q 02 FRAMING 13�EL�AI�CA'CFTNAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
�
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W �WORKSATISFACTORY:PROCEED �i PROJECTCOMPLETE
� CORRECT WORK&PROCEED = ISSUE CERTIFICATE OF OCCUPANCY
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Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �_, pH0T0 TAKEN
INSPECTOR WILL RETURN
C CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next insp_ection 24 hours in advance.473�73�J7
OwnerlContract on e: \
Inspector.
White Copyll�spector's File Canary Copy/Site Notice